Stakeholders’ Involvement in Health Technology Assessment in Kazakhstan, Poland and Bulgaria
Kulembekova L. Hailey D. Kulzhanov M. Tabarov A. Georgiev S. Jaworzynska M. Yanakieva A.Y. Kosherbayeva L.
2024Dove Medical Press Ltd
Patient Preference and Adherence
2024#181009 - 1015 pp.
Background: In recent years, involvement of healthcare stakeholders in health technology assessment (HTA) has been discussed as helping the inclusion of social values in the decision-making process. The aim of our research was to identify and compare details from Kazakhstan, Poland and Bulgaria on their stakeholders’ involvement in the HTA process. Information was sought on their identification, responsibilities, and regulation. Methods: We conducted a survey of seven types of stakeholders in the healthcare systems of Kazakhstan, Poland, and Bulgaria. They included patients and the public, providers, purchasers, payers, policy makers, product makers, and principal investigators. They were questioned on their involvement in the HTA process, and on the objectives of their participation. Results: Levels of involvement of different kinds of stakeholder varied between countries, reflecting political and administrative developments. There was full or partial agreement on the objectives of stakeholder participation. All respondents agreed that representatives of the ministry of health should be involved in selection of stakeholders for HTA. Conclusion: Progress has been made in the involvement of stakeholders, with interest in further development in all three countries.
health policy , health priorities , health technology assessment , stakeholder involvement , Universal health coverage
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Health Policy and Management Department, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
School of Information Sciences and Computer Technology, University of Wollongong, Wollongong, Australia
Deputy Director of the National Center for Health Development, Ministry of Health, Astana, Kazakhstan
Department HTA, Faculty of Public Health “prof. Tzecomir Vodenitcharov, MD, PhD, Dsc”, Medical University, Sofia, Bulgaria
Faculty of Economics, Maria Curie-Sklodowska University, Lublin, Poland
Department of Health Policy and Organization, Al-Farabi Kazakh National University, Almaty, Kazakhstan
Health Policy and Management Department
School of Information Sciences and Computer Technology
Deputy Director of the National Center for Health Development
Department HTA
Faculty of Economics
Department of Health Policy and Organization
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